Active NPI
Perry Zolman Goldenberg, DPM
- Podiatrist
- Bronx, NY
National Provider Identifier
1477669356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N005140
- Practice address
- 3250 3Rd Ave
Doctors Office
Bronx, NY 10456-6743 - Phone
- (718) 328-3668
- Fax
- (718) 328-2952
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N005140 | NY | Primary |
Addresses
Primary practice location
3250 3Rd Ave
Doctors Office
Bronx, NY 10456-6743
Mailing address
166 S Ridgewood Rd
South Orange, NJ 07079-1461
Phone (973) 378-3351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01540005 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111108000704 | NY | Practitioner - Podiatry | 3476633348 | Practice locations: Astoria, NY; Bronx, NY; Cambria Heights, NY; Hollis, NY; Jamaica, NY; Springfield Gardens, NY; Whitestone, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005140 | NY | MD | Mental Health Counselor |
| N005140 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477669356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 S RIDGEWOOD RD",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070791461",
"telephone_number": "973-378-3351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 3RD AVE",
"address_2": "DOCTORS OFFICE",
"city": "BRONX",
"state": "NY",
"postal_code": "104566743",
"telephone_number": "718-328-3668",
"fax_number": "718-328-2952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDENBERG",
"first_name": "PERRY",
"middle_name": "ZOLMAN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N005140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01540005",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.